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Credit Balance Auditor

Methodist Health System Omaha, NE

Job Description

  • Purpose of Job
    • Reviews patient accounts to be audited.
  • Job Requirements
    • Education
      • High School Diploma or General Educational Development (G.E.D.) required.

    • Experience
      • Minimum of 2-3 years' experience working for a 3rd party payor or health care provider is preferred.
      • Six months previous Professional billing experience preferred. International Classification of Disease (ICD) and Current Procedural Terminology (CPT) coding preferred.
      • Prior use of computer required.

    • License/Certifications
      • N/A

    • Skills/Knowledge/Abilities
      • Participates in mandatory in services and continuing education programs as mandated by policies and procedures/external agencies and as directed by supervisor.
      • Requires the ability to type 30 wpm and operate general office machines
      • Knowledge of CMS guidelines.
  • Physical Requirements
    • Weight Demands
      • Light Work - Exerting up to 20 pounds of force.

    • Physical Activity
      • Occasionally Performed (1%-33%):
        • Balancing
        • Climbing
        • Carrying
        • Crawling
        • Crouching
        • Distinguish colors
        • Kneeling
        • Lifting
        • Pulling/Pushing
        • Reaching
        • Standing
        • Stooping/bending
        • Twisting
        • Walking
      • Frequently Performed (34%-66%):
        • Hearing
        • Repetitive Motions
        • Seeing/Visual
        • Speaking/talking
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Grasping
        • Keyboarding/typing
        • Sitting

    • Job Hazards
      • Not Related:
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
        • Electrical Shock/Static
        • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
      • Rare (1-33%):
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I

      • Audit credit balance accounts for correct resolution; must balance the account and prove the ending balance with detailed notes.

      • Requires ability to do math calculations.

      • Involves working with numbers, detail work and research when credit involves subrogation or coordination of benefits.

      • Research Professional claims to determine correct contract reimbursement using many PPO contracts.

      • Review of accounts in collection.

      • Requires ability to communicate effectively with patients, employees and 3rd party payers.

      • Able to correspond via mail, telephone and email.

      • Working closely with all Business Office departments.

    • Essential Functions II

      • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.

Job Details

Date Posted May 23, 2020
Date Closes July 22, 2020
Requisition 14240
Located In Omaha, NE
SOC Category 00-0000.00